Managing Director

Position Summary The Managing Director is the senior operational leader responsible for the full oversight, performance, and growth of a licensed home care agency. This role owns day-to-day operations, financial performance, regulatory compliance, caregiver workforce management, and client satisfaction. The Managing Director ensures the agency delivers high-quality care while scaling sustainably and maintaining compliance with all state and accreditation standards. Key Responsibilities 1. Operational Leadership Oversee daily operations including scheduling, staffing, client intake, and service delivery Ensure consistent execution of care plans and service standards Build and maintain scalable systems for intake, scheduling, documentation, and communication Identify operational gaps and implement process improvements 2. Financial Performance & Accountability Own P&L performance including revenue growth, margin management, and cost control Monitor key metrics: billable hours, caregiver utilization, overtime, and client acquisition cost Develop and execute strategies to increase hours per client and overall census Ensure accurate billing, payroll, and collections processes 3. Regulatory Compliance & Quality Ensure full compliance with state home care regulations and accreditation standards (e.g., NJ

DOH, NJHCA

) Oversee audits, surveys, and documentation readiness Maintain policies and procedures aligned with regulatory requirements Monitor quality metrics, incident reports, and client satisfaction 4. Workforce Management Recruit, hire, and retain caregivers and administrative staff Develop staffing models to ensure coverage and minimize gaps Improve caregiver retention through engagement, communication, and performance management Oversee training, onboarding, and credential tracking 5. Growth & Business Development Drive census growth through referral relationships (hospitals, rehab centers, physicians, community orgs) Identify and execute local marketing and partnership opportunities Optimize intake conversion rates and speed to start of care Evaluate and expand service lines where appropriate 6. Client & Family Experience Ensure high-quality service delivery and responsiveness to client needs Address escalations, complaints, and service issues quickly and effectively Build trust with clients and families to drive retention and referrals 7. Technology & Systems Oversee EMR and scheduling platforms (e.g., AxisCare or equivalent) Ensure accurate and timely documentation across all systems Implement tech-enabled solutions to improve visibility and efficiency Qualifications Bachelor's degree preferred; MBA or healthcare-related degree 5-10+ years of operational leadership experience, preferably in home care, healthcare services, or a multi-site service business Proven experience managing P&L and driving operational performance Strong understanding of home care regulations and compliance requirements Experience with caregiver workforce management and scheduling Demonstrated ability to build systems, improve processes, and scale operations